Confidential Application Form

CHILDREN’S WORKER - ST ANDREW’S BEDFORD

Please read the job description and any supporting information carefully before completing this form.

  1. PERSONAL DETAILS

Full Name and Title
Name by which you prefer to be known
Address
Telephone Number(s)
Email
  1. EDUCATION AND PROFESSIONAL/PRACTICAL QUALIFICATIONS(Including any IT qualifications)

Name of school/college/university / Subject / Qualifications gained
and grades / Date
  1. DETAILS OF ANY CHURCH AFFILIATION (Please indicate if you have any church involvement e.g. PCC member, Reader etc)
  1. DETAILS OF IN SERVICE TRAINING, COURSES ATTENDED ETC.
  1. EMPLOYMENT HISTORY (starting with the most recent)

Employer / Position held / Dates from/to
  1. EXPERIENCE: Having due regard to the job & person description, please summarise why you feel you are suitable for the post. Please reference previous experience gained in employment and /or voluntary work and supply any other information which you consider to be relevant to your application. (Continue on a further sheet if necessary.)

7. VISION: Please describe what you would hope to achieve in Children’s work at St Andrew’s if you were appointed and how you would go about it.

8. REFERENCES

Please give the names of two referees. One should relate to your present or most recent employment.

1 / Title and Name
Position
Address
Telephone
Email
2 / Title and Name
Position
Address
Telephone
Email

May we obtain references prior to interview? YES / NO

9. OTHER DETAILS

Please indicate how you heard of this vacancy
Period of notice required in current employment
How many days off work have you had in the last twelve months due to sickness?

(Optional) Is there anything you would like to tell us about your general state of health in order to offer you a fair selection process? Or is there anything that you think we might need to take account of in relation to your ability to carry out any aspect of the post?

9. DECLARATIONS AND NOTES

Clergy and such lay people as have duties that require them to represent or speak on behalf of the Church of England may not be a member of or promote or solicit support for a party or organisationwhose constitution, policy objectives or public statements are declared in writing by the House of Bishops to be incompatible with the Church of England’s commitment to promoting racial equality. This explicitly includes the BNP.

Please confirm that you are able to comply with this: YES / NO

All applicants who are called for interview will be required to sign a statement relating to any criminal record or other relevant matters, as required by the House of Bishops Policy on Child Protection. The position will be offered to the successful applicant subject to an enhanced DBS disclosure.

Under the terms of the Asylum and Immigration Act 1996, short-listed applicants for the post will need to provide the Parish with an original document showing their entitlement to work in this country. Acceptable documents include National Insurance card, a birth certificate issued in the UK or Eire, a P45 from your previous employer or a valid passport/visa.

I certify that the information given in this application form is true and correct to the best of my knowledge and belief and understand that the giving of false or misleading statements or withholding relevant information may result in an offer of employment being withdrawn or, if employment has commenced, disciplinary action, including dismissal. I hereby consent to the processing of sensitive personal data, as defined by the Data Protection Act 1998, involved in the consideration of this application.

Date
Signature

Please return pages 1-4 of this form along with a covering letter

to the Church Centre Manager by post or by email:

Mrs G Millbery

The Church Centre Manager

St Andrew’s Church Centre

Kimbolton Road

Bedford

MK40 2PF

The closing date for applications is

16 June

at noon.

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